Mitral Valve Entrapment of Preshaped Guidewire During TAVI

JACC Case Reports 2026 Open access

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Authors: Barbara Parrella, Cristina Barbero, Federico Conrotto, Alessandro Vairo, Stefano Salizzoni
DOI: 10.1016/j.jaccas.2026.108683
Cited by: 1
References: 1

Abstract

CASE SUMMARY: We report a case of acute mitral regurgitation caused by a stiff guidewire entrapment in the subvalvular apparatus during transcatheter aortic valve implantation. Early detection by the multidisciplinary Heart Team enabled prompt conversion to successful minimally invasive surgery for mitral repair. TAKE-HOME MESSAGE: Mitral injury due to guidewire entrapment is a rare, life-threatening transcatheter aortic valve implantation complication. Key to success is the early recognition of pathognomonic echocardiographic features and immediate surgical bailout. Minimally invasive surgery is a safe, effective rescue strategy. Maintaining a hybrid environment with a scrubbed cardiac surgeon is essential to optimize outcomes in such high-risk, unexpected scenarios.

Fields of Study & Subjects

Cardiac Valve Diseases and Treatments Cardiac Structural Anomalies and Repair Cardiovascular Function and Risk Factors

Publication details

Journal / source
JACC Case Reports
Publisher
Elsevier BV
Volume
31
Issue
31
Pages
108683–108683
Publication date
3 June 2026
Language
EN